Organization
UNIVERSITY OF SOUTH ALABAMA HEALTH SERVICES FOUNDATION
Active
Other names
USAHSF Reproductive Endocrine Lab
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY S. TATE (CHIEF EXECUTIVE OFFICER)
(251) 470-5842
Entity
Organization
Contact information
Practice address
1720 CENTER ST, MOBILE, AL 36604-3304
(251) 470-5842
(251) 470-5809
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112741
—
MS
Enumeration date
12/12/2006
Last updated
08/22/2020
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